# HOLLY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912746090
- **Authorized official:** HEMANG VINODCHANDRA PATEL (OWNER)
- **Authorized official phone:** (248) 467-8003

## Contact information

- **Practice address:** 4048 GRANGE HALL RD STE D, HOLLY, MI 48442-1193
- **Practice address phone:** (248) 467-8003
- **Practice address fax:** (248) 686-3484
- **Mailing address:** 4048 GRANGE HALL RD STE D, HOLLY, MI 48442-1193
- **Mailing address phone:** (248) 467-8003
- **Mailing address fax:** (248) 686-3484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 05/20/2024